We help educate clients on the different categories of Medicare.
Medicare has become quite complicated and many are inundated with mailings offering many different plans. We help the client navigate the best options available to each client’s specific needs.
Medicare is a fee-for-service health care program for seniors, in which the government pays health care providers directly for services that fall under Part A&B Click Here of Medicare benefits.
Medicare is divided into four categories. This allows you to customize your personal coverage when shopping for a comprehensive policy.
- Part A (hospital insurance): Covers hospital care, emergency services, nursing home care, home health services and hospice.
- Part B (medical insurance): Covers medically necessary services and supplies used for diagnosing and treating medical conditions, and preventative services for illness prevention and/or early detection. Examples include ambulance services, mental health care, outpatient procedures and clinical research.
- Part C: Combines Parts A and B (not enrolled in original Medicare) and is usually referred to a Medicare Advantage Plan. Some of these plans offer Part D coverage as well.
- Part D: Prescription Drug Coverage Supplemental Medicare, or Medigap, is a plan sold by private insurance companies to fill in the coverage gaps and deductibles that Original Medicare does not cover. For instance, if Medicare covers 80 percent of a doctor’s visit, Medigap will cover the remaining 20 percent. With Supplemental Medicare, there is little additional cost to you for health care beyond your premium.
Medigap policies are standardized and regulated by law. This means that each company must offer the same plans with the same benefit, the only difference being the price. However, prices can vary widely between companies.
Let us help you navigate through the many puzzle pieces of Medicare!
